SSR Mobile Phlebotomy and Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SSR MOBILE PHLEBOTOMY AND SERVICES

Practice address

4009 Lakehouse Road
Beltsville, MD 20705

Phone

(240) 459-8945

NPI assigned

Jul 20, 2020

Last updated

Aug 5, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anastasi Ward, REGISTEREDNPI 1306454129

Title

Phlebotomy

Phone

(240) 459-8945

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anastasi Ward, PHLEBOTOMIST

  • Technician
  • Beltsville, MD
  • NPI 1306454129
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1154939817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 LAKEHOUSE RD",
            "address_2": "APT 05",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207057526",
            "telephone_number": "229-254-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 LAKEHOUSE ROAD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "20705",
            "telephone_number": "240-459-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSR MOBILE PHLEBOTOMY AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ANASTASI",
        "authorized_official_title_or_position": "PHLEBOTOMY",
        "authorized_official_telephone_number": "240-459-8945",
        "authorized_official_credential": "REGISTERED"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Souverain
• Jennifer N Sowers, LCSW-C
• Telethia Sparger
• Specialized Education of MD, Inc. (High Road School)
• Sanjana Srivastava
• Anaya Stenson
• Corrine Stone
• Melissa Goldsholl Strozykowski, PA
• Suburban Medical Laboratory, Inc (Medlab)
• Suita Healthcare Services

• Health Service Clinic/Center in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.